AltruBio closes oversubscribed $225M Series B - May 2024 ALTB-268 Phase 2a UC data expected 1H 2025 Judy Chou named Top 20 Women in Biopharma - Endpoints News 2025 PSGL-1: the immune checkpoint nobody else was targeting AltruBio Scientific Advisory Board formed - Dec 2024 Total funding: $327M+ across Series A and Series B ALTB-268 Phase 2b global study initiation planned 2025 Proof of concept across four autoimmune diseases AltruBio closes oversubscribed $225M Series B - May 2024 ALTB-268 Phase 2a UC data expected 1H 2025 Judy Chou named Top 20 Women in Biopharma - Endpoints News 2025 PSGL-1: the immune checkpoint nobody else was targeting AltruBio Scientific Advisory Board formed - Dec 2024 Total funding: $327M+ across Series A and Series B ALTB-268 Phase 2b global study initiation planned 2025 Proof of concept across four autoimmune diseases
YesPress Profile • Biotech

Judy
Chou

Rewriting the immune system's rule book - one T cell at a time

She left a $3 billion portfolio and 2,000 employees at Bayer to bet everything on a molecule most of the industry hadn't heard of. The bet is paying off.

$327M Total raised
25+ Years in biotech
4 Disease POCs
Ph.D. Yale University
Top 20
Women in
BioPharma
Dr. Judy Chou, President and CEO of AltruBio Inc.

The scientist who decided the immune system needs an off switch

Most autoimmune drugs work by turning the volume down across the entire immune system. It is a blunt approach - effective enough to be worth billions, but chronic and fraught with trade-offs. Judy Chou looked at that consensus and went in the opposite direction.

Her company, AltruBio Inc., is built around a single bet: that a cell-surface protein called PSGL-1 (CD162) - best known for decades as a molecule that helps cells stick to blood vessel walls - is actually an immune checkpoint. Activate it the right way, and you can prompt the immune system to wind itself down. Not globally. Not indiscriminately. Just the late-stage, activated T cells that are doing the actual damage in autoimmune disease.

The concept is called an Immune Checkpoint Enhancer (ICE). It is the inverse of the checkpoint inhibitors that changed cancer treatment. And it is first-in-class.

"Luck only comes to the most prepared people."
- Dr. Judy Chou, CEO of AltruBio • BioXconomy Interview
$225M Series B (2024) - oversubscribed
$63M Series A raised (2021)
28 Employees running a $327M program
2000+ Employees led at Bayer Pharmaceuticals
$3B+ Product portfolio managed at Bayer
2025 ALTB-268 Phase 2a readout expected

From Yale to Max-Planck to Harvard - and then into industry

Chou's entry point into biotech was pure science. A Ph.D. at Yale in biotechnology, cell biology, and neuroscience. Post-doctoral training at the Max-Planck Institute in Germany. A research faculty position at Harvard University Medical School. The credentials are impeccable, but what actually shaped her arc was the move that followed: trading academic research for the industrial machine of biologics development.

She moved through Genentech, Wyeth Biopharma, Pfizer, and eventually Bayer - not as a scientist who tolerated operations, but as someone who mastered it. At Pfizer/Medivation, she was Vice President of Pharmaceutical Operations, leading both biologics and small molecule development. At Tanvex Biopharma, her VP of R&D and Manufacturing role contributed to the company reaching IPO. At Bayer, she ran the entire global biotech organization - SVP and Global Head, with a product portfolio generating more than $3 billion in net revenue and a team of 2,000+ employees across development, manufacturing, and distribution.

That is not a scientist who drifted into management. That is an operator who built operational fluency into her scientific base until the two were inseparable.

When more than 50% of investors told her ulcerative colitis was the wrong indication to pick in 2021, she held the line. The oversubscribed $225M round in 2024 followed.

The deliberate bet on a 28-person startup

The move from Bayer to AltruBio (then called AbGenomics) was not a step down. It was a calculated direction change. She had the option of staying at the top of a multi-billion dollar organization. She chose instead a company small enough to move fast, focused on a target that the industry had largely overlooked, and with a science she believed in.

That science centers on PSGL-1 (P-selectin glycoprotein ligand-1, also known as CD162). For most of its scientific history, PSGL-1 was studied as an adhesion molecule - a way that immune cells latch onto blood vessel walls during inflammation. AltruBio's insight was that PSGL-1 is also an immune checkpoint. When you engage it with an agonist antibody - one that activates rather than blocks the receptor - you selectively push activated T cells toward apoptosis. You do not suppress the immune system. You restore its self-regulation.

The lead candidate, ALTB-168 (neihulizumab), demonstrated this across four autoimmune and inflammatory diseases in clinical studies. Its successor, ALTB-268, is a tetravalent version - four binding sites instead of two - with higher potency and the same safety profile, plus the practical advantage of subcutaneous dosing.

The contrarian call on ulcerative colitis

In 2021, as AltruBio was mapping its clinical strategy, the team made a pivotal decision: focus on ulcerative colitis as the lead indication for ALTB-268. At the time, Chou later recounted, more than half of investors pushed back. UC was seen as a crowded space, hard to win, potentially the wrong bet.

She held the line.

Three years later, the May 2024 Series B round - $225 million, oversubscribed, led by BVF Partners LP with RA Capital Management, Cormorant Asset Management, and Soleus Capital joining - validated that call. Phase 2a data for the primary endpoint of clinical remission was anticipated in the first half of 2025. A global Phase 2b randomized, placebo-controlled study was on the planning board for 1H 2025 initiation.

Her response to the funding: "We are honored to welcome this esteemed new group of investors, whose participation complements the support of our existing world-class investor group. Their collective backing not only affirms the potential of our program and company but also our mission of developing durable biologic therapies for patients suffering from autoimmune diseases."

Building the infrastructure of credibility

Beyond the clinical program, Chou has been methodical about surrounding AltruBio with institutional credibility. In December 2024, the company announced its Scientific Advisory Board - three immunologists of genuine standing: Vijay Kuchroo (DVM, Ph.D.), Bernard Malissen (Ph.D.), and Arlene Sharpe (M.D., Ph.D.). These are not cosmetic appointments.

She sits on the board of Akero Therapeutics (NASDAQ: AKRO), a public biopharma company focused on metabolic diseases. She was appointed to the governing board of the California Institute for Regenerative Medicine (CIRM) in November 2022, California's stem cell and gene therapy oversight agency. She advises the UC Berkeley Engineering School and Silicon Valley Women in Engineering. And she advises AIxMed, a digital health biotech startup.

In 2025, Endpoints News named her to its Top 20 Women in Biopharma list. She had already been named Most Influential Women in Business by the San Francisco Business Times in 2018.

The lean machine advantage

AltruBio has 28 employees and has raised $327 million. That math - roughly $11.7 million per employee - is not a sign of inefficiency. It is a sign of a lean model that keeps scientific focus tight and operational bloat minimal. The company maintains an R&D center in Taipei, Taiwan alongside its San Francisco headquarters, a structure that stretches resources across time zones and expertise pools.

Chou has run rooms with 2,000 people. Running a room with 28 is a different discipline - fewer places to hide complexity, fewer buffers between decision and consequence. She chose it.

"Luck only comes to the most prepared people," she said. For someone who completed a Ph.D., a post-doc in Germany, a Harvard faculty position, and then spent 25 years navigating Genentech, Wyeth, Pfizer, Tanvex, and Bayer before staking her career on a single immune checkpoint molecule - preparation is not a posture. It is the actual product.

The Science

How the Immune Checkpoint Enhancer works

PSGL-1 / CD162: From adhesion molecule to immune checkpoint

For decades, PSGL-1 was studied for how it helps immune cells roll along blood vessel walls during inflammation. AltruBio rediscovered it as a checkpoint receptor. Engage it the right way, and it selectively eliminates the T cells responsible for autoimmune damage - without touching resting or early-activated T cells.

🔥

Overactivated T cells

In autoimmune diseases, late-stage activated T cells attack healthy tissue. Conventional drugs suppress the whole immune response.

🎯

PSGL-1 agonism

AltruBio's antibodies activate PSGL-1, triggering selective apoptosis of late-stage activated T cells while sparing the rest.

⚖️

T cell homeostasis restored

The immune system is not suppressed - it is rebalanced. Safer, more durable outcomes with a cleaner mechanism of action.

Pipeline

Clinical candidates

Lead Program

ALTB-268

Tetravalent PSGL-1 agonist antibody - subcutaneous

Next-generation candidate with four binding sites (vs. two in ALTB-168), delivering higher potency against chronic pathogenic T cells with a comparable safety profile. Designed for subcutaneous dosing - a practical advantage for patients.

Phase 1
Complete
Phase 2a UC
Readout expected
Phase 2b
Planned 2025
Foundation Program

ALTB-168

Neihulizumab - PSGL-1/CD162 agonist antibody

First-generation PSGL-1 agonist. Established proof-of-concept across four autoimmune and inflammatory diseases. Demonstrated positive Phase 2 data in psoriasis, Phase 2a in ulcerative colitis, and Phase 1b results in steroid-refractory acute graft-versus-host disease.

Psoriasis Ph2
Positive data
GvHD Ph1b
Positive data
UC Ph2a
Complete
Timeline

Career arc

Early career Post-doctoral training, Max-Planck Institute, Germany. Research Faculty, Harvard University Medical School.
Mid career Scientific and operational roles at Genentech and Wyeth Biopharma, building deep biologics manufacturing expertise.
Mid career Vice President, Pharmaceutical Operations at Pfizer/Medivation - led biologics and small molecule development.
Mid career VP of R&D and Manufacturing, Tanvex Biopharma - contributed to company IPO.
Mid career Senior Vice President & Global Head of Biotech, Bayer Pharmaceuticals - managed $3B+ product portfolio and 2,000+ employees across drug development, manufacturing, and commercial operations.
2018 Named Most Influential Women in Business by San Francisco Business Times.
2019 Joins AbGenomics (later renamed AltruBio) as President and CEO. Begins transforming the company's scientific focus onto PSGL-1 immune checkpoint platform.
2021 Leads $63M Series A. Makes the contrarian call to focus on ulcerative colitis - despite pushback from more than 50% of investors at the time.
2022 Appointed to CIRM governing board (California's stem cell and gene therapy agency). First patient enrolled in Phase 1b study of ALTB-168 in steroid-refractory aGvHD.
2023 January - First patient dosed in Phase 1 trial of ALTB-268 for ulcerative colitis, marking the clinical debut of the next-generation program.
2024 Appointed to Board of Directors of Akero Therapeutics (NASDAQ: AKRO). Presents new in-vivo data at FIMSA 2024 Congress.
2024 - May Leads oversubscribed $225M Series B - the largest round in AltruBio history - backed by BVF Partners LP, RA Capital, Cormorant, and Soleus Capital.
2024 - Dec Announces Scientific Advisory Board with Vijay Kuchroo, Bernard Malissen, and Arlene Sharpe.
2025 Named to Endpoints News Top 20 Women in Biopharma. Phase 2a UC data readout and Phase 2b initiation anticipated.
"Their collective backing not only affirms the potential of our program and company but also our mission of developing durable biologic therapies for patients suffering from autoimmune diseases."
- Dr. Judy Chou, on the $225M Series B closing • May 2024
Recognition

Achievements

🏆

Top 20 Women in Biopharma

Endpoints News, 2025 - recognition for leadership in clinical-stage biotech

Most Influential Women in Business

San Francisco Business Times, 2018

💰

$225M Series B (oversubscribed)

Led AltruBio's Series B in May 2024 - one of the largest autoimmune biotech rounds of the year

🔬

First-in-class platform

Built the only clinical-stage PSGL-1 immune checkpoint enhancer program in the world

🏛️

CIRM Board Appointment

Appointed to Independent Citizens' Oversight Committee of California's stem cell and gene therapy agency, November 2022

📈

Tanvex Biopharma IPO

As VP of R&D and Manufacturing, contributed to the successful public offering of Tanvex Biopharma

Five things worth noting

Ph.D. at Yale, post-doc at Max-Planck in Germany, faculty at Harvard - then she walked into the drug development industry and never looked back.
PSGL-1 was known for 30 years as a cell adhesion molecule. AltruBio is the first to treat it as an immune checkpoint target in clinical trials.
With 28 employees and $327M raised, AltruBio has roughly $11.7 million in funding per team member. That is deliberate, not accidental.
AltruBio's immune checkpoint enhancer approach is structurally the inverse of the checkpoint inhibitors that transformed cancer treatment - applied to autoimmune disease instead.
She also advises AIxMed, a digital health biotech startup - keeping one foot in the frontier of what AI might do to drug discovery.
Watch

Judy Chou in her own words

An Interview with Judy Chou, President and CEO, AltruBio

YouTube • Full Interview

From Bayer To Startup Bio With AltruBio's Dr. Judy Chou

YouTube • BioProcess Online
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